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Proclamation Request

<form-template>
	<fields>
		<field type="textarea" required="true" label="Purpose of Proclamation" class="form-control text-area" name="textarea-1663608315044"></field>
		<field type="date" required="true" label="Date of Proclamation or Event Presentation" class="form-control calendar" name="date-1663608487615"></field>
		<field type="text" subtype="text" required="true" label="Location or Address of Presentation" class="form-control text-input" name="text-1663608523047"></field>
		<field type="text" subtype="text" required="true" label="Telephone or Cell Number" class="form-control text-input" name="text-1663608552458"></field>
		<field type="date" required="true" label="Date Proclamation Needed" class="form-control calendar" name="date-1663608574248"></field>
		<field type="radio-group" required="true" label="Is the First Selectman's presence requested for the presentation?" class="radio-group" name="radio-group-1687272826517">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="text" subtype="text" required="true" label="Recipient Full Name" class="form-control text-input" name="text-1663608642261"></field>
		<field type="text" subtype="text" required="true" label="Recipient Telephone Number" class="form-control text-input" name="text-1663608664652"></field>
		<field type="text" subtype="email" required="true" label="Recipient Email Address" class="form-control text-input" name="text-1663608682060"></field>
		<field type="text" subtype="text" required="true" label="Requestee Full Name" class="form-control text-input" name="text-1663608701776"></field>
		<field type="text" subtype="text" required="true" label="Requestee Telephone Number" class="form-control text-input" name="text-1663608705902"></field>
		<field type="text" subtype="email" required="true" label="Requestee Email Address" class="form-control text-input" name="text-1663608741621"></field>
		<field type="text" subtype="text" required="true" label="Requestee Relationship to Recipient" class="form-control text-input" name="text-1663608759490"></field>
		<field type="textarea" required="true" label="Comments" description="Briefly describe the purpose of the proclamation or certificate of commendation or the message that you would like to convey." class="form-control text-area" name="textarea-1663608785420"></field>
		<field type="header" subtype="h1" label="Submitted by:" class="header"></field>
		<field type="text" subtype="text" required="true" label="Full Name" class="form-control text-input" name="text-1663608844014"></field>
		<field type="text" subtype="text" required="true" label="Date" class="form-control text-input" name="text-1663608866631"></field>
		<field type="text" subtype="email" required="true" label="Email Address" class="form-control text-input" name="text-1663608877412"></field>
		<field type="text" subtype="text" required="true" label="Cell or Primary Phone Number" class="form-control text-input" name="text-1663608892025"></field>
	</fields>
</form-template>

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Proclamation Request